Polinema International Program Guidebook 2020-2021
Contributors: Supriatna Adhisuwignjo, ST., MT Ardian Setiawan, M.Ed., Ed.D Ratih Indri Hapsari, Ph.D Hilda Cahyani, Ph.D Isnaini Nur Safitri, S.Pd., M.Pd Mariana Ulfah Hoesny, SS., M.Pd Nadia Hanayeen, S.Pd. M.Ed. Af’idatul Husniyah, S.Pd., M.Sc. Prima Beauty Kartikasari, S.Pd., M.A. Alvin Nouval, S.Pd., M.A. Maria Magdalena Ike, MM
Polinema International Program Guidebook 2020-2021
Welcome to Polinema International Program
Message from the Director
Politeknik Negeri Malang (Polinema) is one of the vocational higher education institutions in Indonesia under the Ministry of Research, Technology and Higher Education. Our unique- vocational characteristic gives priority to professionalism, expertise, discipline and also link and match with our business partners. Our motto is preparing global professional in order to meet the demand of the job market worldwide. We have been building partnerships with various parties, inside and outside the country which fit the vision of the State Polytechnic of Malang to be a quality vocational college. With our human resources, facilities and infrastructure, Polinema opens opportunities to widen our partnerships. So far, we have been providing training and certificate of expertise area including test of competence; production services, and professional advisory service. So far POLINEMA has reached some achievement i.e. national accreditation of institutions with the highest rank (A); and the national third ranking of vocational higher education in Indonesia in 2019. To widen the opportunity for intenationalization, Polinema launches our International Program in some departments - Informatics Engineering, Accounting, Business Administration, Electronic Engineering and Civil Engineering. These Departments are focusing on their Diploma 4 or Bachelor degree. Polinema International Program aims at catering the needs of our local students to be internationally respected and giving the opportunity for foreign students to study in our campus. Today, there is a vast opportunities for the world citizens to learn, as well as experience local culture and traditions of Indonesia. This will widen students’ understanding and enhance their social skills to be more adaptable working with multicultural society. The guidebook is expected to be a source of information for the students, teachers, and parties who all need it. Enjoy studying at Polinema!
Malang, August 2020 Director,
Awan Setiawan NIP. 195909101986031002
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Contents Message from the Director ...... 1 Chapter 1: Introduction to Polinema International Program ...... 4 Vision ...... 4 Mission ...... 4 Study programs at Polinema at glance ...... 4 Polinema International Program Departments and Study Programs ...... 4 Polinema campus ...... 5 Facilities ...... 5 Chapter 2: Living in Malang ...... 6 City of Malang ...... 6 Students’ life ...... 7 Campus Facility ...... 7 Sports ...... 8 Health ...... 8 Student Organizations ...... 8 Chapter 3: Curriculum of Polinema International Program ...... 11 Curriculum D-IV Informatics Engineering Study Program ...... 11 Curriculum D-IV Accounting Management Study Program ...... 13 Curriculum D-IV Marketing Management Study Program...... 16 Curriculum D-IV Electronic Engineering Study Program ...... 19 Curriculum D-IV Construction Engineering Management ...... 21 Curriculum D-IV Digital Telecommunication Networks ...... 24 Chapter 4: Academic regulations of Polinema International Program ...... 31 Characteristics of Polinema education ...... 31 The uniqueness of Polinema International Program ...... 32 Teaching and learning process regulation ...... 32 Academic Assessment ...... 32 Online Learning ...... 32 Examination ...... 33 Semester Test...... 33 Competence Test ...... 33 Grading System ...... 34 Class Absence Policy ...... 35 Types of Absence ...... 35 Dispensation ...... 35 Sanction for Absence ...... 36 Compensation ...... 36 Maximum absence allowed ...... 36 Final project (thesis) ...... 37 Selecting a thesis topic ...... 37 Formatting the thesis ...... 37 a. Introduction ...... 37
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b. Literature review ...... 38 c. Methods ...... 38 d. Findings and discussions ...... 38 e. Conclusions ...... 38 Supervisors and Examiners ...... 38 Supervisor Responsibilities ...... 38 Student Responsibilities ...... 39 Scheduling Thesis Examination ...... 39 Thesis Examination ...... 40 Chapter 5: Enrollment of Polinema International Program ...... 41 Local students enrollment ...... 41 Application requirements for local students ...... 41 Steps of enrollment for local students: ...... 41 Test Scheme ...... 41 International/foreign students enrollement ...... 42 International students Enrollment...... 42 Qualifications of Students ...... 42 Applicants must provide these following documents: ...... 42 Chapter 6: Fees ...... 44 Fees for local students ...... 44 Fees for international students ...... 44 Three types of IP Polinema students ...... 44 Chapter 7: Campus Life Regulations ...... 45 Level of Violation and the Classifications ...... 45 Level of Violation ...... 45 Classification of Violations of the Regulations ...... 45 Chapter 8: Regulation of Immigration ...... 48 Immigration Matters ...... 48 Before Arrival ...... 48 Student Visa ...... 49 Note: ...... 49 References ...... 50 Forms ...... 51
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Chapter 1: Introduction to Polinema International Program
Vision Being an excellent vocational higher education institution for serving the global competition
Mission 1. Organizing and developing qualified, innovative, and competitive vocational education based on industry, government, and community needs. 2. Conducting applied research and community service that is useful for the development of science and technology and people's welfare. 3. Organizing an education system based on good governance principles. 4. Creating a supportive academic atmosphere to improve the quality of human resources and learning that encourages lifelong learning and the growth of entrepreneurial spirit. 5. Developing mutually beneficial cooperation with various parties both at home and abroad in the relevant fields.
Study programs at Polinema at glance As a whole, Polinema consists of 7 departments and 21 study programs for Diploma 3 and Diploma 4. The Departments consist of natural and social science. For the natural science, it comprises Electronics Engineering, Mechanical Engineering, Civil Engineering, Chemical Engineering, and Informatics Engineering. In social science, our department consists of Accounting, and Business Administration. Currently, we have commenced our master program of Applied Electonic Engineering.
Polinema International Program Departments and Study Programs There are three departments comprising three study programs in Polinema International Program, they are as follows: 1. Department of Informatic Engineering: Study Program of D4 Informatics Engineering 2. Department of Accounting: Study Program of D4 Accounting 3. Department of Business Administration: Study Program of D4 Business Administration 4. Department of Electronic Engineering, Study Program of D4 Electronic Engineering 5. Department of Civil Engineering, Study Program of D4 Construction Engineering Management
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Polinema campus The campus, famous for its blue nuance, is able to bridge the life of campus to that of the surrounding residents in Greater Malang. Polinema realizes that campus as an educational education with the wide learning concept and thinking insight formation of all the supporting components inside should be able to harmoniously integrate them with the external components (society) in order that it can realize harmonious, synergic and beneficial life. Therefore, in terms of religious and social aspects and as the manifestation of the institutional social responsibility, Polinema has demonstrated it through its effort to involve the society in many of its activities.
Facilities As one of notable campuses in the vocational education, Polinema is encouraged to improve the provisions of its facilities in order to support the learning activities and students’ activities. The educational institution facilities may be one of the parameters for quality assessment. The facilities to support the learning processes in Polinema are: 1. Internet access 2. Wi-Fi network 3. Supportive classrooms 4. Well-equipped laboratories in each department or study program 5. LCD in every classroom and relevant laboratory 6. Active board-equipped laboratories
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Chapter 2: Living in Malang
City of Malang
Malang is the second biggest city in East Java, it is located 90 kilometers from Surabaya –the capital city of East Java-. Geographically, Malang is in the highland surrounded by mountains such as Kawi, Panderman, Arjuno and Semeru. The altitude is in range of 440-667 meters above sea level. The average temperature is between 23.8 C and 24 C and it reached 32.3 C for the maximum temperature and 17.8 C for the minimum temperature. The humidity level is around 72% with 1.883 millimeter rain pour average. Thus, Malang has pleasant weather as it is nice for education, tourism and industrial activities.
Malang Raya area covers Malang, Malang regency and Batu. Malang is divided into 4 districts which is Kedungkandang, Klojen, Blimbing, Lowokwaru and Sukun. In 2020 there is around 875.771 people in Malang, with around 50.000 people aged 20-25 years old. Generally, the society in Malang is divided into 4 sub cultures comprising Mataraman, Tengger, Pandalungan and Madurese. The majority of people in Malang is Javanese with other ethnics such as Chinese, Arabic, and Madurese. The religion is dominantly by Islam and followed by Protestant, Catholic, Hindu, Buddha and Confucian. As one of big cities in East Java, Malang has some facilities regarding education, tourism and transportation. As one of education cities in Indonesia, Malang has around 50 private and state universities. In addition, there are also bookstores and book center which provide various books to support academic activities. There are also hundreds of cafes with good wi-fi connection and cozy atmosphere which can be alternatives as place for study instead of libraries. Malang has good transportation facilities like railway station, bus terminal and airport. Abdurrahman Saleh is an airport that serve intercity flights and connects Malang with other cities such as Jakarta, Denpasar, Makassar and so on. The airport is located in Pakis district of Malang regency. The airport has been renovated and provide better facilities for passengers such as restaurant and cafes, mini stores, parking area and lounge. The biggest bus terminal is Malang is Arjosari which connects Malang with other cities in East Java as well as other provinces such as NTB and Bali. Besides, there are also small terminals that spread around the city and provide public transportation which is known as angkot. The public transportation connects one area to others and are available from around 5.00 in the morning until 11.00 pm. In addition, online transportation is also easy to find and it is affordable. Students can choose whether they want to go around the city with motorbike or cars. Some department store and traditional markets are also available in Malang. Malang Town Square, Malang Olympic Garden, Dinoyo Mall and some other department stores near Alun- Alun Malang are good places to shop or just for window-shopping. These department stores have restaurant, cafes, supermarket and stores that provide various stuff such as smartphone, clothing, shoes, books etc. Besides, there are also traditional market that are located in
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Blimbing, Klojen, Dinoyo, Oro-oro Dowo, Tawangmangu, Bareng, Batu and in the centre of Malang city. People can buy green groceries, fruits and other stuff in traditional markets. The price is inexpensive and nowadays these traditional markets have been renovated so they are more clean and comfortable. After all, Malang is a nice place to live as well as to study. The pleasant weather combined with other facilities that have been mentioned are just great for students, especially those come from other countries. With affordable living expense and great atmosphere, Malang is a smart option to be selected as place for studying.
Everyday Language
In daily activities, the most commonly spoken language is Javanese language particularly for Jawa Timuran with dialect of Arek. Specifically, for Malang city, it has unique dialect used by Malang people called as Boso Walikan. For example, Malang becomes Ngalam, bakso (meatball) becomes oskab, burung (bird) becomes ngurub, etc. The style of language is basically well- known as egaliter and outspoken which shows the characteristic of its society which are firm, unadorned, straight forward, work hard and bold for its identity as Arek Malang (AREMA) which bonds the people in togetherness. However, Bahasa Indonesia are also used by most people living in Malang. Traffic signs, information boards to show places and most of public places use Bahasa Indonesia. People who work as front-liners such as policemen, bank staff, stores employees and those who work in café or restaurant use Bahasa Indonesia. As national language, Bahasa Indonesia are mastered by most people, even though Javanese also used in daily non formal conversation. Students’ life As one of educational institutions in Malang, State Polytechnic of Malang tries to create a comfortable and safe environment of campus life with complete and modern facilities. State Polytechnic of Malang always tries to create a conducive academic atmosphere and harmonious relationship with the environment surrounding the campus, for it especially has community of scholars (civitas akademika) with a wide variety of multicultural backgrounds. The formation of conducive academic atmosphere among the civitas akademika consisting of lecturers, students, employees and alumni is not only related to the teaching and learning process in the classroom but also the social relationship outside classrooms.
In line with the development of State Polytechnic of Malang, marked with the rising number of students from outside Malang, the establishment of both internal and external supporting facilities increases
Campus Facility State Polytechnic of Malang offers various campus facilities to support both academic and non- academic activities. The lecture rooms with adequate theoretical and practical facilities, clean and comfortable condition, and strategic campus location in the central educational area of the city that it offers easy access to reach the campus with public transportation emphasize State
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Polytechnic of Malang’s advantages and strengths. In the front part of campus area there is an ATM center with various ATMs of a number of national banks.
Sports All activities of Polinema are oriented to supporting the academic processes with the target of equipping the students with high knowledge and skill. Polinema realizes that to reach the target, the physical health of the students is an accompanying essential factor. To support the factor, Polinema establishes adequate sports facilities. In the front area of the campus there are a volley ball court and a mini soccer field. Just at the south of the volley ball court there is a wall climbing facility beside the basketball court. The badminton court is situated in Pertamina Hall and the table tennis facility is in the Auditorium at Building AH. The facilities can also be accessed by the students between the class hours.
Health Every Polinema student has the right to access Polinema Polyclinic for health consultation. With adequate facilities and competent health staff, it is able to provide excellent health service to the students. Besides the students, the Polinema’s staff and lecturers can receive health service. In each department and study program, Polinema provides a first aid kit box for emergency.
Student Organizations Students Organizations at Polinema is expected benefit students for enriching their managerial and social experience and skills, such as nurturing the sense of self confidence, communicative competence, responsibility and independence, improving positive attitude oriented to gain the optimal achievement, and increasing capability to innovative and creative thinking in the organizational practices. The activities are grouped as follows: 1. Education and Reasoning Division, in charge of activities focusing on the professionalism, creativity, and mastery of science and technology. The activities are among others: Institutional Research Academic Seminar Scientific Writing Competition (Lomba Karya Tulis Ilmiah/LKTI) Student Alternative Work Contest Robotic Contest Student Management Skill Training (Latihan Ketrampilan Manajemen mahasiswa/LKMM) 2. Interest and Talent Division, in charge of all activities developing and fostering interests and talents to improve spirit, creativity and idealism. The activities are among others: Sports Arts and Culture
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Environmental Conservation Campus Radio Campus Press 3. Student Welfare Division This division is charge of activities of upgrading and developing the students’ welfare and religious improvement. The activities include: Student Entrepreneurship Religious affairs Scholarship 4. Student and Alumni Development Division In charge of activities directed to orientation, comprehension and training of formulating the social and community issues. The activities are among others: Community Service Training Counseling Alumni Reunion 5. The student organizations in State Polytechnic of Malang are: 1. Student Representative Board (DPM), Student Executive Body (BEM) 2. Department Student Association (HMJ), consisting of: Electrical Engineering Student Association (HME) Mechanical Engineering Student Association (HME) Civil Engineering Student Association (HME) Chemical Engineering Student Association (HME) Accounting Student Association (HMAK) Business Administration Student Association (HIMANIA) 6. Student Activity Unit (UKM), consisting of : Student Activity Unit of Nature Lovers “Ganendra Giri” Student Activity Unit of Campus Radio “PLFM” (Polinema FM) Student Activity Unit of Campus Press “Kompen” Student Activity Unit of Student Entrepreneurship “Usma” Student Activity Unit of Arts “Theatristic” Student Activity Unit of Student Regiment Student Activity Unit of Sports Student Activity Unit of Education and Reasoning Student Activity Unit of Bhakti Karya Mahasiswa (Community Dedication Student Association) Student Activity Unit of Rispol (Polinema Islamic Student Association) Student Activity Unit of KMK (Catholic Student Association) Student Activity Unit of Talitakum (Christian Student Association) Student Activity Unit of PASTI (Anti-Narcotics Student Association)
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POLINEMA MAP
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Chapter 3: Curriculum of Polinema International Program
Curriculum D-IV Informatics Engineering Study Program SEMESTER 1 CRS CODE COURSE CREDIT
RT171001 Civic Education 2 RT171002 Pancasila Education 2 RT171003 Organization And Communication Science 2 RT171004 Office Compuer Applications 2 RT171005 English For Information Technology 1 2 RT171006 Information Technology Concepts 2 RT171007 Discrete Mathematics 2 RT171008 Occupational Health And Safety 2 RT171009 Programming Fundamental 2 RT171010 Programming Fundamental (Lab) 3
SEMESTER 2 CRS CODE COURSE CREDIT
RT172001 Religious Education 2 RT172002 Documentation Techniques 2 RT172003 English For Information Technology 2 2 RT172004 Operating System 2 RT172005 Software Engineering 2 RT172006 Linear Algebra 2 RT172007 Database 2 RT172008 Database (Lab) 2 RT172009 Algorithm And Data Structure 2 RT172010 Algorithm And Data Structure (Lab) 3
SEMESTER 3 CRS CODE COURSE CREDIT
RT173001 User Interface Design 2 RT173002 Computing Statistics 2 RT173003 Artificial Intelligence 2 RT173004 Web Design And Programming 3 RT173005 Advanced Database 3 RT173006 Computer Networking 2 RT173007 Computer Networking (Lab) 2 RT173008 Object-Oriented Programming 2 RT173009 Object-Oriented Programming (Lab) 3
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SEMESTER 4 CRS CODE COURSE CREDIT
RT174001 Information System 2 RT174002 Object-Oriented Analysis And Design 2 RT174003 Project Management 2 RT174004 Project 1 2 RT174005 Cognitive Computing 2 RT174006 Advanced Web Programming 2 RT174007 Database System Management 2
SEMESTER 5 CRS CODE COURSE CREDIT
RT175001 E-Business 2 RT175002 Project 2 2 RT175003 Mobile Programming 2 RT175004 Data Warehouse 2 RT175005 Software Testing 2 RT175006 Network Programming 2
SEMESTER 6 CRS CODE COURSE CREDIT
RTI176001 Digital Entrepreneurship 2 RTI176002 Decision Making System 3 RTI176003 Database Technology 3 RTI176004 Multimedia Computing 2 RTI176005 Internet Of Things 3 RTI176006 Image Processing And Com. Vision 3 RTI176007 Framework-Based Programming 3
SEMESTER 7 CRS CODE COURSE CREDIT
RT177001 Special Topics 2 RT177002 Project 3 4 RT177003 Thesis Proposal 2 RT177004 Distributed System 3 RT177005 Research Methodology 2 RT177006 Game Programming 3
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SEMESTER 8 CRS CODE COURSE CREDIT
RT178001 English for work preparation 2 RT178002 IT Work Ethics 2 RT178003 Internship 4 RT178004 Thesis 6
Curriculum D-IV Accounting Management Study Program SEMESTER 1 CRS CODE COURSE CREDIT
AKM131001 Principle Accounting 3 AKM131002 Basic English 2 AKM131003 Introduction To Business 2 AKM131004 Business Communication 2 AKM131005 Introduction To Computer 2 AKM131006 Indonesian Languange 2 AKM131007 Pancasila 2 AKM131008 Financial Mathematics 2 AKM131009 Introduction To Economics 2 AKM131010 Business Typing 2 AKM131011 Legal Aspects In Business 2
SEMESTER 2 CRS CODE COURSE CREDIT
AKM132001 Principle Accounting Ii 3 AKM132002 Intermediete English 2 AKM132003 Human Resource Management 2 AKM132004 Business Communication Practice 2 AKM132005 Entrepreneurship I 2 AKM132006 Quality Management System I 2 AKM132007 Computer For Business I 2 AKM132008 Statistics I 2 AKM132009 Banksand Non-Bank Institutions 2 AKM132010 Civics 2 AKM132011 Relegion 2
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SEMESTER 3 CRS CODE COURSE CREDIT
AKM133001 Cost Accounting 3 AKM133002 Intermediate Accounting I 3 AKM133003 Accounting Information System 2 AKM133004 Accounting Practice for Trading Company 2 AKM133005 Advanced English 2 AKM133006 Budgeting 2 AKM133007 Marketing Management 2 AKM133008 Entrepreneurship II 2 AKM133009 Quality Management System II 2 AKM133010 Computer for Business II 2
SEMESTER 4 CRS CODE COURSE CREDIT
AKM134001 Intermediate Accounting II 3 AKM134002 Management Accounting 3 AKM134003 Auditing 2 AKM134004 Taxation 3 AKM134005 Accounting Practice for Manufacturing Company 2 AKM134006 Business English I 2 AKM134007 Financial Management 2 AKM134008 Budgeting Practice 2 AKM134009 Database Programming I 2
SEMESTER 5 CRS CODE COURSE CREDIT
AKM135001 Advanced Accounting 3 AKM135002 Public Sectors Accounting 3 AKM135003 Intermediate Accounting Practice 2 AKM135004 Auditing Practice 2 AKM135005 Taxation Practice 2 AKM135006 Computer Application for Accounting 2 AKM135007 Business English II 2 AKM135008 Database Programming II 2
SEMESTER 6 CRS CODE COURSE CREDIT
AKM136001 Accounting Theory 3 AKM136002 Advanced Accounting Practice 2 AKM136003 Auditing Techniques Computer Based 2 AKM136004 Cost Management 2 AKM136005 Business Ethics and Good Corporate Governance 2
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AKM136006 Organizational Behaviour 2 AKM136007 Strategic Management 2 AKM136008 English for Business III 2 AKM136009 Statistics II 2
SEMESTER 7 CRS CODE COURSE CREDIT
AKM137001 Tax Management 2 AKM137002 Behaviour Accounting 2 AKM137003 Management Accounting Practice 2 AKM137004 Investment Management and Capital Market 2 AKM137005 Quantitative Management 2 AKM137006 Management Control System 2 AKM137007 Management Audit 2 AKM137008 Management Information System 2 AKM137009 Research Methods 2
SEMESTER 8 CRS CODE COURSE CREDIT
AKM138001 Internship 4 AKM138002 Undergraduate Thesis 4
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Curriculum D-IV Marketing Management Study Program
SEMESTER 1 CRS CODE COURSE CREDIT
AAP191001 Company Knowledge Project 3 AAP191002 Marketing Management I 2 AAP191003 Financial Mathematics 2 AAP191004 Elementary Accounting I 2 AAP191005 Introduction to Economic 2 AAP191006 Introduction to Business 2 AAP191007 Mandarin 1 2 AAP191008 Japanese 1 AAP191009 Computer for Word-Processing 2 AAP191010 Computer for Communication 2 AAP191011 English for Communication 2 AAP191012 Personality Development 2 Total 23
SEMESTER 2 CRS CODE COURSE CREDIT
AAP192001 Projects on Handling Consumers 2 AAP192002 Small Business Management 2 AAP192003 Business Typing 2 AAP192004 Public Relations 2 AAP192005 Business Correspondence 2 AAP192006 Marketing Management 2 2 AAP192007 Elementary Accounting 2 2 AAP192008 Business Communication 2 AAP192009 Mandarin 2 2 AAP1920010 Japanese 2 AAP1920011 Computer for Designing Advertisement 2 AAP1920012 Computer for Printing 2 AAP1920013 English for Communication 2 2 Total 24
SEMESTER 3 CRS CODE COURSE CREDIT
AAP193001 Project on Managing Data & Information 3 AAP193002 Marketing Management Seminar 2 AAP193003 Business Law 2 AAP193004 Human Resource Management 2 AAP193005 Taxation 2 AAP193006 Banking 2
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AAP193007 Computer for Worksheet Analysis 2 AAP193008 Computer For Database Analysis 2 AAP193009 Business English 1 2 AAP193010 Mandarin 3 2 AAP193011 Japanese 3 AAP193012 Pancasila 2 Total 23
SEMESTER 4 CRS CODE COURSE CREDIT
AAP194001 Business Planning Project 2 AAP194002 Religion 2 AAP194003 Business Report 2 AAP194004 Entrepreneurship 2 AAP194005 Statistics 2 AAP194006 International Marketing 2 AAP194007 Export Import 2 AAP194008 Civics 2 AAP194009 Mandarin 4 2 AAP194010 Japanese 4 AAP194011 Computer for Accounting 2 AAP194012 Computer for Sales Database 2 AAP194013 Business English 2 2 Total 24
SEMESTER 5 CRS CODE COURSE CREDIT
AAP195001 Marketing Planning Project 3 AAP195002 Sales Management 2 AAP195003 Consumer Behavior 2 AAP195004 Advertising 2 AAP195005 Investment Analysis 2 AAP195006 Market Investment 2 AAP195007 Mandarin 5 2 AAP195008 Japanese 5 AAP195009 English for Marketers 1 2 AAP195010 Computer for Web-Designing 2 AAP195011 Computer for Web-Database 2 AAP195012 Bahasa Indonesia 2 Total 23
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SEMESTER 6 CRS CODE COURSE CREDIT
AAP196001 Financial and Accounting Management 2 AAP196002 Marketing Simulation 2 AAP196003 Retail Management 2 AAP196004 Chain Supply Management 2 AAP196005 Research Methodology 2 AAP196006 E-Commerce 2 AAP196007 Business Ethics 2 AAP196008 Services Marketing 2 AAP196009 Mandarin 6 2 AAP196010 Japanese 6 AAP196011 Introduction to Multimedia 2 AAP196012 Computer for Web Publishing 2 AAP196013 English for Marketers 2 2 Total 24
SEMESTER 7 CRS CODE COURSE CREDIT
AAP197001 Theory of IT Application in Business 2 AAP197002 Practice of IT Application in Business 2 AAP197003 Storage Management 2 AAP197004 Theory of Electronic Marketing 2 AAP197005 Practice of Electronic Marketing 2 AAP197006 Marketing Research 2 AAP197007 Theory of Multimedia for Marketing 2 AAP197008 Practice of Multimedia for Marketing 2 AAP197009 English for Marketers 3 2 AAP197010 Customer Relationship Management 2 AAP197011 Mandarin 7 2 AAP197012 Japanese 7 2 Total 22
SEMESTER 8 CRS CODE COURSE CREDIT
AAP198001 Internship 3 AAP198002 Undergraduate Thesis 4 Total 7
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Curriculum D-IV Electronic Engineering Study Program SEMESTER 1 CRS CODE COURSE CREDIT
RSK-191002 Pancasila 2 RSK-191005 English I 2 RSK-191006 Applied Physics 2 RSK-191007 Applied Mathematics I 2 RSK-191011 Technical Drawing 2 RSK-191031 Electrical Circuits I 3 RSK-191021 Basic Electronics 2 RSK-191014 Electrical Installation I 2 RSK-191008 Enterpreneurship 2 RSK-191012 Health and Work Safety 2 RSK-191013 Workshop I 3
SEMESTER 2 CRS CODE COURSE CREDIT
RSK-192007 Applied Mathematics II 2 RSK-192031 Electrical Circuit II 3 RSK-192032 Electrical Machines 3 RSK-192033 Power Generation 1 RSK-192014 Electrical Installation II 2 RSK-192022 Basic Electronic Laboratory 2 RSK-192015 Hydrolic and Pneumatic Laboratory 2 RSK-192016 Installation Design Laboratory I 2 RSK-192034 Electrical Measurement Laboratory I 2 RSK-192013 Workshops II 3
SEMESTER 3 CRS CODE COURSE CREDIT
RSK-193024 Power Electronic 2 RSK-193035 Power System Distribution 2 RSK-193036 Power System Analysis I 2 RSK-193014 Electrical Installation III 2 RSK-193016 Installation Design Laboratory II 2 RSK-193034 Electrical Measurement Laboratory II 2 RSK-193023 Mikrocontroller Laboratory 2 RSK-193037 Electrical Machines Laboratory I 2 RSK-193017 Electrical Installation Project I 2 RSK-193013 Workshop III 3
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SEMESTER 4 CRS CODE COURSE CREDIT
RSK184004 Bahasa Indonesia 2 RSK184014 Medium Voltage Electrical Installation 2 RSK184027 Instrumentation and Control System 2 RSK184038 Power System Protection 2 RSK184025 Power Electronics Laboratory 2 RSK184026 Interfacing and Automation Laboratory 2 RSK184037 Electrical Machines Laboratory II 2 RSK184039 Power System Laboratory I 2 RSK184017 Electrical Installation Project II 2 RSK184013 Workshop IV 3
SEMESTER 5 CRS CODE COURSE CREDIT
RSK185036 Power System Analysis I 3 RSK185033 Power Generation 3 RSK185040 Power System Operation and Maintenance 2 RSK185041 Grounding System 2 RSK185043 Substation 2 RSK185044 Power Quality 2 RSK185042 Laboratory of Electrical Machines Drive and Application 2 RSK185039 Power System Laboratory I 2 RSK185028 Programmable Logic Controller(PLC) Laboratory 2 RSK185045 Laboratory of Power System Computer Modelling I 2
SEMESTER 6 CRS CODE COURSE CREDIT
RSK186003 Civics 2 RSK186048 Transmission and High Voltage Technique 3 RSK186050 Power System Control 2 RSK186049 Power System Instrumentation 2 RSK186009 Quality Management System(QMS) 2 RSK186047 Energy Management System(EMS) 2 RSK186046 Economic and Management of Electrical Project 2 RSK186028 Programmable Logic Controller(PLC) Laboratory 2 RSK186029 SCADA Laboratory 2 RSK186045 Laboratory of Power System Computer Modelling II 2
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SEMESTER 7 CRS CODE COURSE CREDIT
RSK187052 Research Methodology 2 RSK187053 On The Job Training 4
SEMESTER 8 CRS CODE COURSE CREDIT
RSK188001 Religion 2 RSK188005 English II 2 RSK188051 Renewable Energy Laboratory 2 RSK188054 Thesis 6
Curriculum D-IV Construction Engineering Management
SEMESTER 1 CRS CODE COURSE CREDIT
RMK151001 Basic Technical Drawings 2 RMK151002 Surveying I 3 RMK151003 Health and Safety Arrangement 2 RMK151004 Entrepreneurship 2 RMK151005 Engineering Mechanics I 2 RMK151006 Pancasila 3 RMK151007 Religion Education 2 RMK151008 Civic Education 2 RMK151009 Carpentry Workshop 2 RMK151010 Material Technology 3
SEMESTER 2 CRS CODE COURSE CREDIT
RMK152001 Indonesian for Engineering 2 RMK152002 Applied Technical Drawings 2 RMK152003 Surveying II 3 RMK152004 Material Testing 2 RMK152005 Applied Mathematics 2 RMK152006 Engineering Mechanics II 2 RMK152007 Soil Mechanics I 3 RMK152008 Steel Workshop 2 RMK152009 Masonry Workshop 2
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SEMESTER 3 CRS CODE COURSE CREDIT
RMK153001 Heavy Equipment 2 RMK153002 Basic Construction Management 2 RMK153003 Engineering Mechanics III 3 RMK153004 Soil Mechanics II 3 RMK153005 Road Construction Practice 2 RMK153006 Concrete Workshop 2 RMK153007 Plumbing Workshop 2 RMK153008 Steel Structure I 2 RMK153009 Concrete Structure I 2
SEMESTER 4 CRS CODE COURSE CREDIT
RMK154001 English for Engineering I 2 RMK154002 Cost Estimation 2 RMK154003 Highway Geometry 2 RMk154004 Applied Hydraulics 2 RMK154005 Engineering Mechanics IV 2 RMK154006 Formwork Workshop 2 RMK154007 Drainage Workshop 2 RMK154008 Applied Statistics 2 RMK154009 Steel Structure II 2 RMK154010 Concrete Structure II 2
SEMESTER 5 CRS CODE COURSE CREDIT
RMK155001 Computer Application I 2 RMK155002 English for Engineering II 2 RMK155003 Pre - Stressed Concrete 2 RMK155004 Building Construction 2 RMK155005 Civil Construction 2 RMK155006 Procurement 2 RMK155007 Road Pavement 2 RMK155008 Bridge Engineering 2 RMK155009 Foundation Engineering I 2 RMK155010 Wood Structure 2
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SEMESTER 6 CRS CODE COURSE CREDIT
RMK156001 Computer Application II 3 RMk156002 Business English I 2 RMK156003 Urban Drainage System 2 RMK156004 Irrigation 2 RMK156005 Project Scheduling 2 RMK156006 Traffic Engineering 2 RMK156007 Environment Engineering 2 RMK156008 Foundation Engineering II 2 RMK156009 Concrete Structure III 3 RMK156010 Building Utility 2
SEMESTER 7 CRS CODE COURSE CREDIT
RMK157001 Project Administration 2 RMK157002 Business English II 4 RMK157003 Engineering Economics 2 RMK157004 Construction Methods and Failures 2 RMK157005 Research Methodology 2 RMK157006 Clean Water and Waste 2 RMK157007 On the Job Training 3 RMK157008 Operation Research 2
SEMESTER 8 CRS CODE COURSE CREDIT
RMK158001 Management Project Planning 3 RMK158002 Project Controlling 3 RMK158003 Thesis 5
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Curriculum D-IV Digital Telecommunication Networks
SEMESTER I CREDITS HOURS/WEEK No. CODE SEMESTER I THEORY PRACT. TOTAL THEORY PRACT. TOTAL
1 RTD191001 English-I: Functional English 2 0 2 2 0 2
2 RTD191002 Citizenship Education 2 0 2 2 0 2
3 RTD191003 Quality Management System 2 0 2 2 0 2
4 RTD191104 Electromechanics Workshop 0 2 2 0 4 4
5 RTD191105 Basic Telecomunications System 2 0 2 4 0 4
6 RTD191106 Engineering Mathemathics 2 0 2 3 0 3
7 RTD191107 Electronic Devices and Engineering 3 0 3 6 0 6
8 RTD191108 Electrical Circuit 2 0 2 4 0 4
9 RTD191109 Digital Technique 3 0 3 6 0 6
SUB TOTAL 18 2 20 29 4 33 PERCENTAGE 90% 10% 100% 88% 12% 100%
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SEMESTER II CREDITS HOURS/WEEK No. CODE SEMESTER II THEORY PRACT. TOTAL THEORY PRACT. TOTAL
1 RTD192001 English-II Communication Skills 2 0 2 2 0 2
2 RTD192102 Electromagnetic Field 2 0 2 3 0 3
3 RTD192103 Computer Programming Practicum 0 3 3 0 6 6
Electronic Devices & Engineering 4 RTD192104 0 2 2 0 4 4 Practicum
5 RTD192105 Electrical Circuit Practicum 0 2 2 0 4 4
Technique and Computer Network 6 RTD192106 0 3 3 0 5 5 Practicum
7 RTD192107 Digital Technique Practicum 0 2 2 0 4 4
8 RTD192108 Microwave and Transmission Line 2 0 2 3 0 3
9 RTD192109 Modulation System 2 0 2 3 0 3
SUB TOTAL 8 12 20 11 23 33 PERCENTAGE 40% 60% 100% 32% 68% 100%
Polinema International Program Guidebook 2020-2021 25
SEMESTER III CREDITS HOURS/WEEK No. CODE SEMESTER III THEORY PRACT. TOTAL THEORY PRACT. TOTAL
1 RTD193001 Indonesian 2 0 2 2 0 2
English-III Technical Report 2 RTD193002 2 0 2 2 0 2 Writing & Presentation
3 RTD193103 Antenna 2 0 2 3 0 3
4 RTD193104 Signal Processing 2 0 2 2 0 2
Wireless Sensor Network 5 RTD193105 0 3 3 0 6 6 Practicum
Practicum of Microcontroller 6 RTD193106 0 2 2 0 4 4 I
Practicum of Programming 7 RTD193107 0 3 3 0 6 6 & IoT Implementation
Practicum of Transmission 8 RTD193108 0 2 2 0 4 4 Line & Microwave
Modulation System 9 RTD193109 0 2 2 0 4 4 Practicum
SUB TOTAL 8 12 20 9 24 33 PERCENTAGE 40% 60% 100% 27% 73% 100%
Polinema International Program Guidebook 2020-2021 26
SEMESTER IV CREDITS HOURS/WEEK No. CODE SEMESTER IV THEORY PRACT. TOTAL THEORY PRACT. TOTAL
English-IV Communication Skill & 1 RTD194001 2 0 2 2 0 2 Presentation
2 RTD194002 Pancasila Education 2 0 2 2 0 2
3 RTD194103 Database Programming 0 2 2 0 4 4
4 RTD194104 Antenna Practicum 0 2 2 0 4 4
Telecommunication Electronics 5 RTD194105 0 2 2 0 4 4 Practicum
6 RTD194106 Data Communication Practicum 0 2 2 0 4 4
7 RTD194107 Practicum of Microcontroller II 0 2 2 0 4 4
8 RTD194108 Signal Processing Practicum 0 2 2 0 4 4
9 RTD194109 Digital Image Processing Practicum 0 2 2 0 4 4
10 RTD194110 Switching & Traffic Engineering 2 0 2 2 0 2
SUB TOTAL 6 14 20 6 28 34 PERCENTAGE 30% 70% 100% 18% 82% 100%
Polinema International Program Guidebook 2020-2021 27
SEMESTER V CREDITS HOURS/WEEK No. CODE SEMESTER V THEORY PRACT. TOTAL THEORY PRACT. TOTAL
1 RTD195001 Entrepeneurship 2 0 2 2 0 2
2 RTD195102 Artificial Intelligence 2 0 2 3 0 3
3 RTD195103 Occupational Health and Safety 2 0 2 2 0 2
Video Communication & Television 4 RTD195104 2 0 2 3 0 3 Broadcasting
5 RTD195105 Mobile Applications Programming 0 3 3 0 6 6
Practicum of Switching & Traffic 6 RTD195106 0 3 3 0 6 6 Engineering
7 RTD195107 Cellular Communication System 2 0 2 3 0 3
8 RTD195108 Fiber Optic Communication System 2 0 2 4 0 4
9 RTD195109 Radio Communication System 2 0 2 4 0 4
SUB TOTAL 14 6 20 21 12 33 PERCENTAGE 70% 30% 100% 64% 36% 100%
Polinema International Program Guidebook 2020-2021 28
SEMESTER VI CREDITS HOURS/WEEK No. CODE SEMESTER VI THEORY PRAKTEK TOTAL THEORY PRAKTEK TOTAL
1 RTD196001 Religious Education 2 0 2 2 0 2
2 RTD196102 Project Design 0 3 3 0 6 6
Pra-final project and Research 3 RTD196103 0 2 2 0 4 4 Method
Cellular Communication Network 4 RTD196104 0 3 3 0 6 6 Practicum
5 RTD196105 Artificial Intelligence Practicum 0 2 2 0 4 4
Practicum of Video Communication 6 RTD196106 0 2 2 0 4 4 and Television Broadcast
Practicum of Fiber Optic 7 RTD196107 0 2 2 0 4 4 Communication Systems
Practicum of Radio Communication 8 RTD196108 0 2 2 0 4 4 System
Satellite & Radar Communication 9 RTD196109 2 0 2 2 0 2 Systems
SUB TOTAL 4 16 20 4 32 36 PERCENTAGE 20% 80% 100% 11% 89% 100%
Polinema International Program Guidebook 2020-2021 29
SEMESTER VII CREDITS HOURS/WEEK No. CODE SEMESTER VII THEORY PRACT. TOTAL THEORY PRACT. TOTAL
1 RTD197101 On The Job Training 0 12 12 0 24 24
SUB TOTAL 0 12 12 0 24 24 PERCENTAGE 0% 100% 100% 0% 100% 100%
SEMESTER VIII CREDITS HOURS/WEEK No. CODE SEMESTER VIII THEORY PRACT. TOTAL THEORY PRACT. TOTAL
1 RTD198101 Undergraduate Thesis 0 12 12 0 24 24
SUB TOTAL 0 12 12 0 24 24 PERCENTAGE 0% 100% 100% 0% 100% 100%
RECAPITULATION OF TOTAL CREDITS AND HOURS CREDITS HOURS TOTAL TOTAL EXPLANATION THEORY PRACT. CREDITS THEORY PRACT. HOURS
TOTAL CREDITS AND HOURS 58 86 144 58 172 252
PERCENTAGE 40% 60% 100% 32% 68% 100%
Polinema International Program Guidebook 2020-2021 30
Chapter 4: Academic regulations of Polinema International Program
Characteristics of Polinema education
State Polytechnic of Malang (Polinema) is a vocational higher education institution specialized in certain fields of knowledge. According to Article 15 of Law No. 20 Year 2003 on National Education System, Vocational Education is a higher education that prepares students to have a job with a certain maximum applied skills equivalent to a bachelor’s degree. The characteristic of polytechnic education is employing a course package designed to prepare graduates to be ready for work. Therefore, the curricullum must be in line to cater what the industry needs, covering both hard skills and soft skills.
Students’ hard skills are achieved through learning by doing classroom process which consists of 40% theoretical and 60% practical content courses, delivered through 5 +1 Competency Based Curriculum for the Diploma III Program and 7 +1 for the Diploma IV Program. In order to achieve the learning goals, small classes sized with a maximum number of 30 students per class are implemented.
To develop students’ soft skills, Polinema education is directed to build the characters of honesty, leadership, discipline, teamwork, and ingenuity in working (smart work). The students’ characters are always developed their problem solving skills. Moreover, discipline character is formed through basic discipline education for new students which are held at the orientation program.
In accordance to Government Regulation No. 60 of 1999, the graduate of Diploma III earns an Associate degree, called Ahli Madya abbreviated as A.Md., while for the graduate of Diploma IV Bachelor of Applied Science degree or Sarjana Sains Terapan, abbreviated as S.ST. The use of the graduate degree in the abbreviated form is placed after the full name of the graduate.
Course package requires the students to take all courses designed in a certain semester. The course package has the following characteristics: 1) Students take all courses designed for certain semester and must pass on every semester according to the rules. 2) Students are regarded to pass a course determined on the basis of academic achievement, classroom attendance, and compliance for following the order. 3) The number of hours per week for each course is determined by the classroom goal.
Polinema International Program Guidebook 2020-2021 31
The uniqueness of Polinema International Program Polinema International Program differs from the regular program for these following characteristics: 1. It uses English as teaching and learning medium of instruction 2. The curriculum resembles the regular program, however the final project is written and examined in English 3. The students of Polinema International Program are those selected from high-achievers and have passed the English requirements, and interview test 4. The students are required to conduct Overseas Academic Program (OAP) 5. It has international academic environment
Teaching and learning process regulation Polinema International Program uses English as the medium of intruction to teach content subjects for the students. The academic culture and environment demand the students and lecturers to use English outside and inside the classroom. The lecturers of Polinema International Program are those who have experience in overseas education and also have experience of living in foreign countries. These lecturers are both eligible to teach content subject and to use English as the medium of instruction. The teaching materials are adapted in English which requires the students to be exposed in the English environment. The examination is also prepared in English. The teaching method is focusing on students’ centered learning in which the students are doing the active learning. Some of the teaching approaches used are problem-based learning, project- based learning, and blended learning which combines classroom with internet-based independent learning activities.
Academic Assessment Academic assessment determines the result of the whole academic process during one semester to produce the final grade. The final grade is gained from some components: 1. Quiz 2. Classroom participation 3. Class presentation 4. Assignment grade 5. Mid-semester exam grade 6. Final exam grade 7. Other specified activities composed by the lecturer
Online Learning Student responsibilities in online learning are similar to those in traditional classrooms with some variations due to the nature of online environment. In online learning, students must: 1. Attend the course orientation. All students must participate in course orientation (the first meeting) so that they understand how the course is going to be delivered in online platforms and become accustomed to the online environment.
Polinema International Program Guidebook 2020-2021 32
2. Read course documents. All students must read all course documents (e.g., syllabus, assignments) to be familiar with course expectations. By reading course documents, students will be able to plan for course activities. 3. Attend online classes. Class participation is an important part of online learning. Generally, courses are arranged by lecturers and delivered through the Learning Management System (LMS) of State Polytechnic of Malang. However, subject lecturers might use other online platforms for teaching. Students should check with their lecturers about how the courses are going to be delivered. All students are required to adhere to the subject lecturers’ class arrangement. When participating in online classes, all students are required to wear formal clothes. 4. Get involved in online course interactions. All students are required to actively participate in online learning activities. 5. Manage time. Students must organize their study time well and pay attention to schedules and deadlines. 6. Adhere to academic norms and values (academic honesty). Academic norms and values of State Polytechnic of Malang pertain to all online courses taught at the institution.
Examination Evaluation is conducted to measure students achievement in a subject. Evaluation is done through examination which has some types such as; written test, oral test, practice, presentatation and seminar. The type of test will depend on the characteristics of subjects.
Semester Test
State Polytechnic holds mid-term test and final semester test each semester. Mid term test is done in the 9th week, while final semester test is done in the 19th week. Final semester test is held by a committee that is assiged by study program.
Competence Test
There are some competence tests that must be done by students, such as: Polytechnic English Competence Test and Microsoft Office Tests. Other competence tests are available depend on the study program. 1. English Competence Test is done for freshmen and those who are going to graduate. After the test, students will be given certificate which record their score. This test is aimed at measuring students’ English ability. 2. Microsoft office test is usually done in the second or third semester. Students will be given a certificate after they do the test. The certificate is required to apply for job. Class, Practicum, and Internship schedules a. Classes and practicums are scheduled Monday through Friday from 07:00 until 20.00.
Polinema International Program Guidebook 2020-2021 33
b. The schedules are established by each department/study program based on the current POLINEMA academic calendar. c. Internship schedules are determined according to agreed terms with a partner company based on established principles.
Grading System
Final Mark Final mark of each subject in number/quantitative value is converted into qualitative value as presented in the following table: Final Mark Final Mark (Qualitative Value) (Quantitative Alphabetical Equivalent Qualification Value) Score Score 80 73 65 60 50 39 N≤ 39 E 0 Fail Grade Point Average/GPA GPA stands for Grade Point Average. It is a standard way of measuring academic achievement. GPA is calculated by dividing the total amount of grade points earned by the total amount of credit hours attempted. The grade point average may range from 0.0 to a 4.0. Semester GPA is calculated by multiplying the number of credit hours assigned to a course by the value of the grade earned in that semester Pass Students are failed to graduate from the semester if they meet one or more the following conditions: 1. Semester GPA is less than 2.00 2. There is E mark 3. The mark of subjects/courses of Religion, The National Ideology of Pancasila, and Civics is/are less than C 4. There are more than one D mark for laboratory and/or workshop subject/course Polinema International Program Guidebook 2020-2021 34 Passing Grade for Students under Scholarship Students under Polinema scholarship must obtain GPA more than 3.00 (in one semester) otherwise she/he will be in probation for one semester to improve the grade. If there is no improvement, he/she is considered as private students and no longer receive scholarship. Class Absence Policy Types of Absence 1. Illness Absence a. If a student is absent without a doctor’s note, he/she is required to present a statement letter signed by his/her academic adviser. b. If a student is absent due to an illness for more than 1 (one) consecutive day, he/she must present a doctor's note within 2 (two) business days of his/her illness. c. If a student leaves a class due to an illness, he/she must request the permission to leave from the teacher, the Head of the Study Program, the Secretary of the Department, or the Head of the Department. 2. Non-Illness Absence a. If a student is absent for 1 (one) or more days due to non-illness reasons, he/she must present a note from his/her parent(s)/guardian(s) verified by his/her adviser. b. If a student leaves a class due to non-illness reasons, he/she must request the permission to leave from the teacher, the Head of the Study Program, the Secretary of the Department, or the Head of the Department. 3. Unexcused Absence a. Not attending a class without prior authorization or b. Being tardy to class or c. Leaving a class without requesting the permission from the teacher, the Head of the Study Program, the Secretary of the Department, or the Head of the Department or d. Not attending a class due to an illness more than one day without a doctor's note. Dispensation A student obtaining a dispensation for a campus assignment authorized by POLINEMA officials must present his/her assignment or dispensation letter to the Department or Study Program officials before the assignment takes place and he/she is considered as present in classes during the assignment. Polinema International Program Guidebook 2020-2021 35 Sanction for Absence Academic The forms of academic sanctions for absence range from written warnings to dismissals. a. Written warnings are given in stages in accordance with the amount of unexcused absence in one semester with the following conditions: 1) A student with unexcused absence of 18 or more class hours will receive Written Warning I. 2) A student with unexcused absence of 36 or more class hours will receive Written Warning II. 3) A student with unexcused absence of 47 or more class hours will receive Written Warning III. b. A student will be dismissed if his/her unexcused absence reaches 56 or more class hours. If the student is in his/her final semester, he/she will receive a Terminal status. Compensation a. Compensation is a disciplinary action applied to a student for his/her unexcused absence. b. Compensation does not eliminate the number of unexcused absence as stated in sub-articles of 2.6.1. c. The form and implementation of the compensation are regulated by the department and is expected to increase the student's knowledge, skills, discipline, and loyalty to the alma mater. d. The amount of compensation is determined based on the number of the unexcused absence multiplied by two. e. Compensation is done outside class hours or during a semester break and the department determines the sanctions for those not doing the compensation. If the compensation is not completed in the same semester where the unexcused absence occurs, its amount will be multiplied by two in every future semester until the compensation is completed. Maximum absence allowed a. If a student's cumulative number of illness, non-illness, and unexcused absences reaches 52 class hours in one semester, he/she will receive a notification letter. b. If a student continuously takes illness absences for 76 or more class hours, he/she will be dismissed or, if applying for, granted an academic leave. c. If a student's cumulative number of illness, non-illness, and unexcused absences reaches 76 or more hours in 1 semester, he/she will receive a status of Probation Pass for 3 months. d. If a student's cumulative number of illness, non-illness, and unexcused absences reaches 114 or more hours in 1 academic year, he/she will receive a notification letter. Polinema International Program Guidebook 2020-2021 36 e. If a student's cumulative number of illness, non-illness, and unexcused absences reaches 152 or more hours in 1 academic year, 1) if he/she is in Years 1 or 2, he/she will be dismissed from Polinema (unless applying for an academic leave). 2) if he/she is in Year 3 of D-III program or Year 4 of D-IV program, she will receive a Terminal status. f. The number of cumulative absences allowed in practice courses of a block system is regulated separately by the departments applying the system. Final project (thesis) Final Project or thesis is the final component of assessment to earn degree that must be taken by every student in their final semester. Students of Polinema International Program are required to write the thesis in English which consists of approximately 20,000 (twenty thousand words) or at least 75 pages long. The students work with the guidance of two supervisors of their fields; and one English language advisor. These two supervisors comprise one primary supervisor and one co-supervisor who assist the student for conducting and reporting the research from the beginning to the end of thesis writing. The English language advisor is the appointed English lecturer who assists the use of English in the thesis writing. Thesis must be done by every final semester student and have the same position with theoretical and practical subjects. Students will only earn a degree if they successfully completed and defended their thesis in front of board of examiners. The purpose of thesis writing is that students can apply their knowledge and skills accordingly in the areas of expertise. Selecting a thesis topic The topic of thesis should be related to a specific field or a study program. It should be actual, original, well-defined, and is of the interest of the researcher and the supervisors. Students are advised to choose a broad subject area at first and then narrow down toward a thesis topic according to their supervisors’ suggestions. Formatting the thesis The specific guidelines and format for thesis writing is set out by each study program. Generally, a thesis consists of five chapters, namely; introduction, literature review, methods, finding and discussion, and conclusion. Students should also write an abstract which is an overview of the whole thesis and is between 200-300 words along with three to five keywords of their research. a. Introduction Introduction usually provides background to the topic; brief review of current knowledge; indicates gap in knowledge, states aim of your research and how it fits into the gap; may include hypotheses; and may include an outline of the following chapters. Polinema International Program Guidebook 2020-2021 37 b. Literature review Literature review may be merged with the Introduction or put into a separate section. It is an evaluation of previous research on the topic, where students show that there is a gap in the knowledge that the research will attempt to fill. c. Methods This section outlines which method researchers chose and why (methodology); what, when, where, how and why they did what they did to get the results. d. Findings and discussions Findings contain what researchers found out in relation to their research questions or hypotheses, presented in figures and in written text, while discussion section provides explanation and interpretation of the results. The discussion should also relate to specific results of the previous researches or theories. e. Conclusions This is where researchers emphasize that the research aims/objectives have been achieved. Researchers can also emphasize the most significant results, note the limitations and make suggestions for further research. Supervisors and Examiners Thesis supervisor and examiner must have an academic functional position of Instructor (Asisten Ahli) or above in their respective area of expertise. In addition to Polinema lecturers, examiners who are expert in the field may be drawn from other institutions, industries, or professional associations. Each study program will assign students with supervisors and examiners. Supervisor Responsibilities Thesis writing is greatly affected by the nature of the supervision and the quality of communication between students and their supervisors. When students work closely and effectively with their thesis supervisors, they will improve the quality of their thesis and their educational experiences. The followings are some specific responsibilities of thesis supervisors: 1. Assisting the student with the selection and planning of a suitable and manageable thesis topic. 2. Assisting the student in conducting the research. 3. Assisting the student in writing the thesis. Polinema International Program Guidebook 2020-2021 38 4. Responding in a timely and thorough manner to written work submitted by the student, with constructive suggestions for improvement. 5. Assisting the student to comply with the guidelines of thesis writing set out by each department. 6. Helping the student to prepare for thesis examination Student Responsibilities Final year students should be committed to devote the time and energy needed to engage in research and write a thesis. Thesis supervisor has a right to expect substantial effort, initiative, respect and receptiveness to suggestions and criticisms. Students are expected to: 1. Make a commitment and show dedicated efforts to gain the background knowledge and skills needed to pursue your project successfully. 2. In conjunction with your supervisor, develop a plan and timetable for completion of all stages of your thesis project, adhere to a schedule and meet appropriate deadlines. 3. Meet with your supervisor when requested and report fully and regularly on progress and results. 4. Give serious consideration to the advice and criticisms received from your supervisors. Scheduling Thesis Examination Schedule for thesis examination is set based on the university academic calendar or set according to each department schedule Thesis examination is normally scheduled in three rounds and students are scheduled for defense based on the date they submit their thesis draft to the secretariat. Technical matters regarding the thesis examination is regulated by each department or study program. Generally, the revised thesis shall be collected no more than 2 weeks after the examination date. In order to be assigned a Defense date, a student needs to submit the following documents to the Thesis Examination Secretariat, upon express approval by the thesis supervisors: 1. Transcript of Academic Record, as signed by the Head for Academic and Students Affairs Office; 2. A completed application form, signed by the thesis supervisors; 3. A copy of Student Card (KTM); 4. Two pieces of recent passport photographs sized 3x4; 5. Thesis Consultation Record, signed by the thesis supervisors; 6. Study Plan (KRS) of the current semester; 7. Three hard copies of the approved draft of the thesis, signed by the thesis supervisors; 8. A copy of receipt of the most recent tuition fee payment; and 9. Any other requirement which may be set by the respective department. Polinema International Program Guidebook 2020-2021 39 Thesis Examination Once the thesis draft is submitted and approved by the supervisors, the student will be assigned a date for the defense by the examination thesis secretariat. In the defense, a board of examiners consisting of three lecturers will verbally examine the student with respect to the quality of his or her thesis. Only upon successful completion of the Defense will the student be entitled for attainment of the degree Bachelor in Applied Marketing/Applied Accounting/ Applied IT/ Applied Civil Engineering/ Applied Digital Telecommunication/ Applied Electrical Engineering. On the day of the Defense, only the following documents are admissible into the examination room: a. Student ID and a hard copy thereof; b. Printout of the latest Transcript of Academic Records; c. His or her own copy of the thesis; and d. Pen or pencil or highlighter. Students are also required to follow the dresscode for thesis examination. The outfit for the thesis examination shall be as follows: a. Men: white long-sleeve dress shirt, black necktie, black trousers, formal shoes, Polinema student’s jacket; or b. Women: white long-sleeve dress shirt, black necktie, black skirt, formal shoes, and Polinema student’s jacket. Polinema International Program Guidebook 2020-2021 40 Chapter 5: Enrollment of Polinema International Program Local students enrollment Application requirements for local students 1. Senior High School (SMA/SMK) or equivalent (Graduates of 2018, 2017, 2016) 2. Indonesian High School qualification with good academic records 3. English language proficiency, as indicated by TOEFL score of at least 450 or 4.5 (IELTS). The applicants who pass the document qualification will be invited to sit in English proficiency test administered by Polinema. 4. Good communication capability, as indicated by score of interview test Steps of enrollment for local students: 1. First semester students must have completed the registration, shown valid students ID card, and paid the tuition fee. The amount of tuition fee for this program is similar to the regular students 2. Students must comply the enrollment time schedule 3. Students must take some entrance examination, including: document evaluation, Polytechnic National Test, English proficiency test, and interview Test Scheme The students who have passed the document evaluation and the initial entrance test will be selected for further examinations as follows: 1. English Proficiency Test 2. English Interview Test The schedule of the tests is presented in the following table: Day Time Test Test material English Proficiency Test Day 07:00- (PECT/Polytechnic English Listening, Structure, Reading 1 10:00 Competence Test) General communication, Day 09:00- English Interview Test measuring: motivation and 2 12:00 general knowledge *PECT can be waived by submitting ITP TOEFL minimal 450 or IELTS minimal 4,5 or IBT score minimal 65 Polinema International Program Guidebook 2020-2021 41 International/foreign students enrollement International students Enrollment Qualifications of Students Each student has to fulfill these requirements as the follows: 1. Completed secondary education or its equivalent 2. Minimum age 17 years and not older than 23 years of age 3. Able to communicate in English and additional Bahasa Indonesia, Proven by English Language Proficiency Certificate : TOEFL/TOEIC/IELTS or OTHER CERTIFICATES if applicable (Language certificate is not a mandatory) 4. In good health as proven by Medical Certificate (medical checkup result); free from color blindness for students of Engineering 5. Unmarried 6. Have basic knowledge of the field you're applying (after being declared as the selected students) Applicants must provide these following documents: 1. A filled student application form of International Program (form is available in the website); 2. Curriculum vitae (resume, personal data); 3. Guarantee statement, indicating financial ability to undertake education within Indonesia, in the form of a bank statement; 4. Copies of academic record and diplomas certified by the official government from the applicant’s study origin; 5. Copies of non-academic records; 6. Recommendation letter from applicant's school/institution; 7. Four (4) passport size photos; 8. A copy of passport showing the applicant's picture and the date of issuance and expiration. The passport must be valid and current for the period of study in Indonesia; 9. A copy of valid TOEFL/IELTS certificates with a score of more than 450 (not more than 2 years); 10. A copy of valid health certificate (issued by doctor); 11. Health information statement Program (form is available in the website); 12. Foreign student pledge letter (form is available in the website); 13. Parent’s statement letter Program (form is available in the website); Polinema International Program Guidebook 2020-2021 42 14. Good conduct certificate (issued Police Department); 15. Recommendation letter from Indonesian Embassy/Consulate General. After the documents are complete, international students can upload the required documents in the website. Schedules: 1. Online registration: February –March 2. Announcement of Document Assessment: April 3. Online Interview: April 4. Announcement of Interview: April * Schedules are subject to changes Kantor Urusan Internasional/Office of International Affairs Politeknik Negeri Malang JL. Soekarno Hatta 09 Malang East-Java 65141 Indonesia Contact Person: Bu Ike Mobile Phone/WhatsApp number: +62821 3987 8746 Email: [email protected] Polinema International Program Guidebook 2020-2021 43 Chapter 6: Fees Fees for local students Fees for local students are similar as the regular program. There is no additional charge for the students’ each semester tuition. However, students are obliged to prepare self-fund to conduct Overseas internship project (OIP) for at least two weeks in foreign countries. Therefore, this needs the parents’ agreement to fill out the form of parents’ financial support agreement. Fees for international students Fees for international students are also equal to the regular program. The students need to complete their tuition fee before starting the class. Three types of IP Polinema students Full scholarship student Partly funded student Private student This student receives full- This student receives free This student receives no funded scholarship by tuition free for eight supports, therefore Polinema comprising: semesters, but no living he/she needs to pay the 1. Tuition fee for eight allowance tuition and the allowance semesters on his/her own 2. Living allowance (2.5 million IDR/month) for eight semesters The result of student’ selection will determine of types of IP Polinema students Polinema International Program Guidebook 2020-2021 44 Chapter 7: Campus Life Regulations Level of Violation and the Classifications To encourage students to maintain good order and discipline in the campus environment, campus life regulations are required. Level of Violation The level of violation is as follows: 1. Level I - a very serious violation 2. Level II - a serious violation 3. Level III - a quite serious violation 4. Level IV - a moderate violation 5. Level V - a minor violation Classification of Violations of the Regulations The types of violations of the regulations are presented in the table of Violations and Levels of Violations, as follows: Table 1 Classification of Violation Levels No. Violation Level 1 Communicating in a disrespectful/impolite way with other students, V lecturers, employees, or other people 2 Dressing inappropriately (impolite or untidy), such as wearing tight dress, IV transparent dress, t-shirt, tank top, hipster, you can see, mini skirt, backless, shorts, three-quarter pants, leggings, trousers or torn clothes, slippers/sandals 3 Male students having untidy/messy hair or long hair, where the front part of IV the hair covers the eyebrows, or the side part of the hair covers the ears, or the back part of the hair touches the collar of the shirt on the neck 4 Having punk hair style or dyed hair other than black and/or skinned IV 5 Eating or drinking in the lecture room/laboratory/workshop IV 6 Violating rules/regulations applied in the Department/Study Program III 7 Littering/disposing waste improperly or at undesirable locations III 8 Making any noise which disrupts lectures or practicum III 9 Smoking outside the smoking area III 10 Playing cards or online games in campus area III 11 Soiling or scribbling tables, chairs, walls, etc. III 12 Being rude or impolite/disrespectful to other students, lecturers, and / or III employees. Polinema International Program Guidebook 2020-2021 45 13 Damaging facilities and infrastructure II 14 Not maintaining order and security II 15 Making dirty or damaging other people's belongings including the properties II of Polinema 16 Accessing pornographic materials in the classroom or campus area II 17 Carrying and/or using weapons and/or firearms for criminal matters II 18 Getting involved in fights, and forming gangs/groups for negative purposes II 19 Carrying out practical political activities on campus II 20 Committing acts of violence or fighting on campus II 21 Using others’ identity for negative purposes II 22 Threatening, written or unwritten, other students, lecturers, and/or II employees 23 Stealing I/II 24 Cheating in academic, administrative and financial matters I/II 25 Committing extortion and/or fraud I/II 26 Harassing and/or immoral acts in all forms on and off campus I/II 27 Gambling and/or consuming alcoholic drinks in and outside the campus I/II 28 Joining organizations and/or spreading ideologies that are prohibited by the I/II Government 29 Falsifying data / documents / signatures I/II 30 Committing plagiarism in assignments or other scientific works I/II 31 Not maintaining the good image of Polinema in the community and/or I defaming Polinema through any media 32 Conducting activities which can harm the dignity of the State, Nation and I POLINEMA 33 Using psychotropic and/or other addictive substances I 34 Getting involved in a criminal offense and found guilty by the court I Accumulation of Violation Sanctions Acts/actions violating the Campus Life Regulations will be accumulated for each category of violations and are valid as long as the student is still registered as a student at Polinema a. If level V violation is committed 3 (three) times, the level of the violation is categorized as level IV. b. If level IV violation is carried out 3 (three) times, the level of the violation is categorized as level III. c. If level III violation is committed 3 (three) times, the level of the violation is categorized as level II. d. If level II violation is committed 3 (three) times, the level of the violation is categorized as level I. Sanctions for Violations The following are sanctions based on the level of violation: Polinema International Program Guidebook 2020-2021 46 1. Sanctions for Level V violations committed by students in the form of: oral reprimand accompanied by a statement not to repeat the act, stamped, signed by the student and DPA 2. Sanctions for Level IV violations committed by students in the form of: written reprimand accompanied by a statement not to repeat the act, stamped, signed by the student and DPA 3. Sanctions for Level III violations committed by students in the form of: a. Making a written statement not to repeat the act, stamped, signed by the student and DPA b. Performing specific tasks, for example repairing or cleaning up, and other tasks. 4. Sanctions for Level II violations committed by students in the form of: a. Compensation or replacement of objects and/or similar objects and/or b. Performing social services within a certain period and/or c. Given the score of D in related subjects when committing a violation 5. Sanctions for Level I violations committed by students in the form of: a. Academic leave for two semesters and/or b. Dismissed as a student. Polinema International Program Guidebook 2020-2021 47 Chapter 8: Regulation of Immigration Immigration Matters Before Arrival International student who wishes to study at Polinema is required to come to Indonesia with Limited Stay Visa under the form of VITAS (single entry visa) upon arrival that later be upgraded into Limited Stay Permit or KITAS (multiple entry visa) in Malang Local Immigration Office. The limited stay visa usually valid 6 months, 1 year, or two-year stay. Before international students can apply for VITAS, student should have to process for getting a study permit from the Ministry of National Education of Republic of Indonesia to be able to get TELEX Visa (approval of the Directorate General of Immigration to the Indonesian Embassies or General Consulate to issue certain visas to the applicant). Documents required for application study permit procedure for the International Student (Issued by Polinema): 1. Copy of Recommendation Letter from Polinema, addressed to the Directorate of Higher Education, Ministry of National Education. 2. Copy of Acceptance Letter from Polinema (provided by students) 1. Completed application form (Polinema form). 2. Letter of Recommendation from Indonesian Embassy (KBRI) or Consulate General of Republic of Indonesia (KJRI) in the country of residence. 3. Copy of transcript academic record 4. Curriculum Vitae (CV) 5. 2 (two) recent close-up photograph (4x6 cm) with RED background 6. Letter of Financial Guarantee to cover study and living expenses during your study or sponsorship certificate 7. Health certificate from legal-practicing medical-doctor stating that the student is both physically and mentally capable to conduct the studies. 8. 3 (three) copies of Passport. Note: Study permit process will take 1 (one) month in the Ministry of National Education. The coordination team of foreign study permit is giving approval recommendation to the Ministry of National Education. If the application of foreign study permit is approved, it will be submitted to the Immigration Head Office in Jakarta in order to precede visa authorization. After finishing the study permit process, then the process will continue at the Immigration Head Office-Jakarta to obtain the approval letter that will be needed to obtain the student visa. The Head Office of Immigration - Jakarta will send the approval letter to the Indonesian Embassy in your country of residence by telex visa. Polinema International Program Guidebook 2020-2021 48 Student Visa After finishing the study permit, the process will continue at the Immigration Head Office - Jakarta to obtain the approval letter that will be needed to obtain the student visa. The Head Office of Immigration - Jakarta will send the approval letter to the Indonesian Embassy in your country of residence by telex visa. Documents required for application student visa: 1. Copy of study permit from Ministry of National Education. 2. Copy of Recommendation Letter from Polinema, addressed to the Directorate of Immigration Headquarter, the Ministry of Law and Human Right. 3. Copy of Acceptance Letter from Polinema and completed application form. 4. Letter of Recommendation from Indonesian Embassy (KBRI) or Consulate General of Republic of Indonesia (KJRI) in the country of residence. 5. Copy of transcript academic record 6. Curriculum Vitae 7. 2 (two) recent close-up photograph (4x6 cm) with red background 8. Letter of Financial Guarantee to cover study and living expenses during your study or sponsorship certificate 9. Health certificate from legal-practising medical-doctor stating that the student is both physically and mentally capable to conduct the studies. 10. 1(one)copy of Passport. Note: 1. Approval of student visa process will take 2 (two) weeks after the study permit done at the Immigration Head Office - Jakarta. After the student visa approved by the Head Office of Immigration - Jakarta, they will send the letter of telex visa to the Indonesian Embassy or the Consulate General of Republic of Indonesia in student home country. 2. It takes about 7 days for Immigration Head Office - Jakarta to send the telex visa to the Indonesian Embassy or Consulate General in student home country. After that, students are able to apply the visa depends on your period of study. 3. The whole process to obtain limited stay visa / VITAS could take up to three months maximum. 4. Any fees related to immigration matter is not covered by Polinema. 5. The use of socio-cultural visa is not allowed for full degree student. Polinema International Program Guidebook 2020-2021 49 References Polinema Academic Guidelines 2017-2018. Polinema Press UII International Program: Undergraduate International Program Guidebook 2017-2018 Politeknik Negeri Malang Official Website: polinema.ac.id Polinema International Program Guidebook 2020-2021 50 Forms KEMENTERIAN RISET TEKNOLOGI DAN PENDIDIKAN TINGGI POLITEKNIK NEGERI MALANG Jl. Soekarno Hatta No. 9 Malang 65141 Telp (0341)404424 – 404425 Fax (0341) 404420 http://www.polinema.ac.id ADMISSION FORM OF INTERNATIONAL PROGRAM (IP) 2019/2020 POLITEKNIK NEGERI MALANG (POLINEMA) A. STUDENT INFORMATION 1. Name : ………………………………….…………………………………...... ………………… 2. Place/Date of Birth : …………………………………………………………………………………………….. 3. Sex : Male Female 4. Nationality : ……………………………………………………………………………………………. 5. Passport Number : ……………………………………………………………………………………………. 6. Address : ……………………………………………………………………………………………. City : ……………………………………………………………………………………………. State : ……………………………………………………………………………………………. Country : ……………………………………………………………………………………………. Post Code : ……………………………………………………………………………………………. 7. Religion : ……………………………………………………………………………………………. 8. Blood Group : ……………………………………………………………………………………………. 9. Mobile Number : ……………………………………………………………………………………………. 10. Email Address : ……………………………………………………………………………………………. 11. Senior High School Origin: ………………………………………………………………………………………… 12. Senior High School Address: ………………………………………………………………………………………… 13. TOEFL/IELTS/Equivalent English Test Score: ……………………………………………………………………… B. INTENDED PROGRAM AT POLITEKNIK NEGERI MALANG 1. Department : 1) Information Technology 2) Information Technology 3) Civil Engineering 4) Accounting 5) Business Administration 2. Study Program : 1) D4 Informatics Engineering 2) D4 Electrical Engineering 3) Construction Engineering Management 4) Management Accounting 5) Marketing Managemet C. FAMILY INFORMATION: 1. Father/ Guardian a. Name :……………….……...... ………………….……………………………………….... b. Educational Qualification :……………….……...... ………………....……………………………………….... c. Occupation :……………….……...... ………………....……………………………………….... d. Annual Income :……………….……...... ………………....……………………………………….... e. Mobile Number :……………….……...... ………………....……………………………………….... 2. Mother/ Guardian Polinema International Program Guidebook 2020-2021 51 a. Name :……………….……...... …………………………………………………………… b. Educational Qualification :……………….……...... ………………....……………………………………….... c. Occupation :……………….……...... ………………....……………………………………….... d. Annual Income :……………….……...... ……………………………………………………………. f. Mobile Number :……………….……...... ………………....……………………………………….... 3. Parent’s/ Guardian’s Address :……………….……...... ………………....……………………………………….... City : ………...... ……….State:...... ……...... ……...... Country :...... Post Code: .……...... … D. ACADEMIC ACHIEVEMENT: No Achievement Level (Local/National/ International) E. NON-ACADEMIC ACHIEVEMENT: No Achievement Level (Local/National/ International) F. Motivation to Apply Polinema’s International Program: (Clear and Brief Explanation) ...... G. Motivation to study in Indonesia: (Clear and Brief Explanation) ...... Malang, ...... 2018 Officer Student’s Signature and full name Pasphoto 3X4 ...... Polinema International Program Guidebook 2020-2021 52 Officer IP Test Number : ...... Name : ...... Pasphoto ...... 3X4 ..2019 Major : ...... Student’s Signature (______) Polinema International Program Guidebook 2020-2021 53 FOREIGN STUDENT’S PLEDGE I, the undersigned, Name : ...... Place & Date of Birth : ...... Passport number : ...... Expiration Date ...... Department : ...... Nationality : ...... Email Address : ...... As a foreign student in Politeknik Negeri Malang, I pledge to abide by the following rules: 1) To refrain from violation of university regulations and to fulfill my obligations as foreign student to the best of my ability. 2) To behave in a manner appropriate to Indonesian culture and society, obey Indonesian law, and not to participate in any form of political activity (such as organizing a political party, joining a political party, attending political meetings, publishing political articles and declarations, organizing or participating in demonstrations of a political nature, and so on). 3) To refrain from seeking job or doing occupational activities in Indonesia during my study duration. If I am proved to have violated any of the above or to have made a false statement in my application documents, I shall accept any resolution or penalty made by Politeknik Negeri Malang Indonesia, even When it may/might result in suspension, revocation or withdrawal of my scholarship Sincerely yours, (DD-MMM-YYYY) Signature ( Fullname ) Polinema International Program Guidebook 2020-2021 54 KEMENTRIAN RISET, TEKNOLOGI, DAN PENDIDIKAN TINGGI POLITEKNIK NEGERI MALANG UNIT PELAKSANA TEKNIS (UPT) BAHASA Jalan Soekarno-Hatta 9, P.O. Box 04 Malang – 65141 Telepon (0341) 404424-404425 Pswt. 1050 Fax. (0341) 404420 HEALTH INFORMATION FORM Thank you for your interest to have an academic experience at POLINEMA. It is important that we be aware of any past or current medical issues, including mental health conditions, which might affect your study. This information will be kept confidential to protect student privacy. Disclosure of such information may be made to appropriate individuals (including program staff and resident directors) and to provide you with assistance should the need arise during your study. Health tests, certifications, or other actions may also be required prior to departure in certain circumstances. POLINEMA International Office is committed to enabling participation in POLINEMA programs for all qualified individuals. If you have questions, need assistance, or wish to discuss accommodations for health problems, please contact your buddy and/or the office. Accommodations may require extensive planning and communications with foreign contacts, so adequate lead time is critical. Contact should accordingly be initiated as soon as possible. PART A: GENERAL INSTRUCTIONS: Completing and having this is a condition of study in POLINEMA programs Please complete this form in English either by typing or by hand, using black ink and in capital letters. You must notify POLINEMA IO of any relevant changes to the information that may occur prior to the program. The information in this form is confidential. Please take the signed original of this form plus any supporting documents. Polinema International Program Guidebook 2020-2021 55 Student’s Name: PART B: HEALTH HISTORY In case of hospitalization by POLINEMA, student’s medical records are available from: Physician / Hospital : Telephone Number : Address : apply: atitis (specify) measles) infection infection infection Please provide a brief history/explanation regarding above and whether they have left any lasting complications: adaches Syndrome disability disease concern hyperactivity disorder (ADHD/ADD) Please specify if there is anything that POLINEMA staff should be aware of relating to any of the above: PART C: CURRENT MEDICATIONS AND NEEDS Polinema International Program Guidebook 2020-2021 56 Last First/Given Middle Date of Country of Gender: Male Birth: Citizenship: ______Female ______dd mm Yyyy Department/Degree: Duration of program (start date and end date): Start date: End date: In case of emergency, please Language(s) contact: spoken: Contact number Contact number (Office and/or (Home): Mobile): Area country code code number country code area code number Diet Do you require a special diet? If yes, please give details: Are there any foods that you cannot or should not eat? If yes, please give details: Allergies Do you have allergies to: Food If yes, please specify: Medicines If yes, please specify: Others If yes, please specify: What medications can you be given for an allergic reaction? Medications Do you take any medications?*)**) If it is a prescription, Brand Name Generic Name Dose, Schedule, Special Instruction is it renewable? Polinema International Program Guidebook 2020-2021 57 *) Please ensure sufficient supply for the study’s duration. Special Needs Do you have any special needs or require any specific support? If yes, please specify: **) Bringing any specific medical documentation would be very helpful for a doctor in the host country. Bringing it with you can help avoid unnecessary and expensive procedures. It is recommended that you discuss this with your regular physician. PART D: HEALTH INSURANCE If no, it is strongly recommended that you make your own health insurance. If you are not going to have health insurance, you are aware that all expenses that may happen because of your health problems will be you or your parents’ responsibility. As an information, you can ask a help from International Office of POLINEMA to manage the health insurance. If yes, please make sure that your health insurance is applicable in Indonesia. Primary Insurance Company Name ______Policy Number ______Insurance Company Phone ______ PART E: CERTIFICATION I certify that all responses made on this form are true, accurate and complete, and I will notify POLINEMA IO of any relevant changes that may occur prior to or during my study program. I have included in this form, advised the POLINEMA IO Staff of any special needs or assistance that I/the student may have relating to my/the student’s physical and mental health. I am aware that if I do not provide complete information, this may cause hardship and concern to others and may affect my/the student’s own welfare. I understand that if I do not provide complete information, POLINEMA IO may decide to send me/the student home from the study program at my/the student’s own expense. I consent to the release of medical information to POLINEMA IO or POLINEMA agents so that they may provide me with needed assistance. I further agree that POLINEMA IO or POLINEMA agents may release information to other persons who may need this information to assist me/the student or to assist others in my study. I understand and agree that this form may be released to the POLINEMA IO staffs for such purposes. I am aware that I am responsible for my/the student’s physical and mental health and will cover any medical expenses that may occur during my/the student’s study at POLINEMA. If my parents or guardians have not signed this form, I represent and certify that I am not a minor according to the laws of my country. Polinema International Program Guidebook 2020-2021 58 Signature of Student:______Date: ______ Signature of Parent/Guardian of student: ______Date: ______ Polinema International Program Guidebook 2020-2021 59 PARENTS STATEMENT LETTER OF FULL SCHOLARSHIP AWARDEE I, the undersigned, Name : ...... Nationality : ...... Address : ...... Mobile Phone Number : ...... Home Address : ...... Email Address : ...... As the parent of student candidate of Politeknik Negeri Malang below: Name : ...... Place/Date of Birth : ...... Passport number : ...... Expiration Date: ...... Department/Study Program : ...... Nationality : ...... Mobile Phone Number : ...... Home Address : ...... Email Address : ...... Residence Address in Indonesia (after arrival) Hereby declare that, during the study of my son/daughter in Indonesia, I will cover the administrative fees (visa), insurance, flight tickets, medical requirements (excluded from the insurance), books and other study requirements with our own finance. The tuition and living allowance are supported by Politeknik Negeri Malang for eight (8) semesters (starts from September 2019). He/she is not a scholarship holder from any scholarship providers. This letter is made without any constraint. Sincerely yours, (DD-MMM-YYYY) Signature ( Fullname ) Polinema International Program Guidebook 2020-2021 60 PARENTS STATEMENT LETTER OF PARTIALLY FUNDED SCHOLARSHIP I, the undersigned, Name : ...... Nationality : ...... Address : ...... Mobile Phone Number : ...... Home Address : ...... Email Address : ...... As the parent of student candidate of Politeknik Negeri Malang below: Name : ...... Place/Date of Birth : ...... Passport number : ...... Expiration Date: ...... Department/Study Program : ...... Nationality : ...... Mobile Phone Number : ...... Home Address : ...... Email Address : ...... Residence Address in Indonesia (after arrival) Hereby declare that, during the study of my son/daughter in Indonesia, I will cover living costs, administrative fees (visa), insurance, flight tickets, medical requirements (excluded from the insurance), books and other study requirements with our own finance. The tuition is supported by Politeknik Negeri Malang for eight (8) semesters. He/she is not a scholarship holder from any scholarship providers. This letter is made without any constraint. Sincerely yours, (DD-MMM-YYYY) Signature ( Fullname ) Polinema International Program Guidebook 2020-2021 61 STATEMENT LETTER OF PRIVATE STUDENTS (NON-SCHOLARSHIP) I, the undersigned, Name : ...... Nationality : ...... Address : ...... Mobile Phone Number : ...... Home Address : ...... Email Address : ...... As the parent of student candidate of Politeknik Negeri Malang below: Name : ...... Place/Date of Birth : ...... Passport number : ...... Expiration Date : ...... Department/Study Program : ...... Nationality : ...... Mobile Phone Number : ...... Home Address : ...... Email Address : ...... Residence Address in Indonesia (after arrival): ...... Hereby declare that, during the study of my son/daughter in Indonesia, I will cover tuition, living allowance, administrative fees (visa), insurance, flight tickets, medical requirements (excluded from the insurance), books and other study requirements with our own finance. He/she is not a scholarship holder from any scholarship providers. This letter is made without any constraint. Sincerely yours, (DD-MMM-YYYY) Signature ( Fullname ) Polinema International Program Guidebook 2020-2021 62 Polinema International Program Guidebook 2020-2021 63